ROBERT BASTIAN WAGNER

WEST LINN, OR
NPI1730298647
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: OR  MD08471)
Enumeration Date2006-08-30
Last Update Date2008-03-17
Business Address
-- ROBERT BASTIAN WAGNER MD
22490 SW MOUNTAIN RD
WEST LINN, OR 97068-9619
Phone number: 503-638-8218
Mailing Address
-- ROBERT BASTIAN WAGNER MD
22490 SW MOUNTAIN RD
WEST LINN, OR 97068-9619
Phone number: 503-638-8218
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